Organization
NEUROLOGY OF CALIFORNIA PC
Active
Organization
NEUROLOGY OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAREY POWELLL (DIRECTOR)
(973) 882-3456
Entity
Organization
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(973) 882-3456
Mailing address
700 US HIGHWAY 46 STE 420, FAIRFIELD, NJ 07004-1532
(973) 882-3456
(973) 882-3450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0591467
—
NJ
05
—
05952754
—
NY
Enumeration date
11/24/2021
Last updated
11/24/2021
Update your record
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